What are the indications for using heparin?

Tx of atrial fibrillation with embolization

Dx and Tx of DIC
Prevention and Tx of Pulmonary emboli and venous thrombosis

Adverse effects of Diamox?

Rash
Anorexia
Vomit
Weakness

Uses for antiseptics and germicides?

Reduce the number of bacteria on skin

Minor cuts and abrasions to prevent infection
As a surgical scrub and preop cleaner
In home to clean skin
Washing hands before and after pt care

Adverse reactions of Vita B12?

Acne
Itching
Mild Diarrhea
CHF

Notify the primary health care provider when pt receiving antihypertensive?

Edema
Weight gain of 2lb or more per day

Severe hypersensitivity reactions to oprevleukin?

Dyspnea
Difficulty Swallowing

Heparin: Prevents the extension of clots that have formed in lungs.

Pt on lisinopril for hypertension. BP is 112/76: Notify the health care provider
Assessment findings of digitalis toxicity?

Drowsiness
Abdominal Pain
Diarrhea

Vomit

Additional teaching of digoxin when pt: takes the pill with a meal.
Action of Diuretics?

Loss of chloride
Loss of water

Manifestations of hyponatremia?

Confusion
Hypotension
Tachycardia

Hypertension will increase the risk of heart disease.

Foods for low sodium diet: grilled chicken, green salad and apple
Pt discharged with anticoagulants for deep vein thrombosis: consider safety measures to
prevent bleeding and be alert for signs of bleeding.
Order antifungal for athletes foot.
Pt on digoxin. Hold the med if pt reports a pulse rate of: 52beats/minute
Herb repair skin and reduce inflammation from minor burns: Aloe vera
Teaching about hypertension?
Lose weight
Reduce stress
Stop smoking
A hypertensive emergency if BP is not lowered stat, damage to Eyes, Kidneys and Heart
can occur.
Pt tells the nurse that he has been perspiring and has diarrhea: risk for deficient fluid
volume.
Digitalis toxicity can occur even on low dose due to age, medical conditions and
decreased renal function
Avoid foods high in sodium, what meal is best? Grilled chicken, green salad and apple
Foods high in Vita K: Green leafy vegetables.
Nonpharmacologic method to decrease BP: weight loss and decrease salt intake

Statement indicates pt understands teaching about diuretics: I will weigh myself daily and
report significant changes.
3.5-5.0
pt on heparin, certain foods must be taken in limited quantity: Vita K
Chemo kills cancer cells and blood cells, causing fatigue. Adding immunostimulants to
stimulate the production of these cells would help you feel better.
Anemia occurs due to chronic illness or specific deficiencies such as Iron.
Don't worry, iron supplements can cause black or dark stools because of the iron.
Iron is contraindicated in clients with known hypersensitivity to the drug, or any
component of the drug
BP reading would be prehypertensive if: 128/89
Loop diuretic: Furosemide (Lasix)
Osmotic diuretic [decreases ICP]: Mannitol (Osmitrol)
Crackles in the lower lobes of the lungs, pitting edema in feet and ankles: CHF
Pt is on spironolactone (Aldactone) need to avoid: Bananas
Effects of warfarin (Coumadin) are monitored by: PT and INR
Teaching for sustained release antihypertensive: swallow, do not cut, crush or chew.
Goal of therapy for antihypertensive meds: maintain BP within normal limits.
Acyclovir (Zovirax) can stop herpes zoster.
Orders to perfrom wound care: wash hands first
Cleaing with iodine? Clear the area of clothing that can be stained
Wear gloves when applying zovirax ointment
Never put anything in the ear to remove cerumen
Prolonged use of antibiotic drops may result in superinfection due to overgrowth of
bacteria or fungi.
Pt on digoxin, Coumadin and Inderal is complaining of nausea, abdominal discomfort
and visual changes: Digitalis toxicity
Administer Protamine sulfate for a heparin overdose.
Apply a transdermal patch of clonidine on: hairless are of upper arm

Pt needs further instructions on warfarin: I take aspirin for my arthritis

Pt on warfarin needs to avoid: Spinach
Pt on warfarin is also taking the herb chamomile: increased risk for bleeding
Instructions for diuretics at home: weigh self on the same scale, time of day, same
clothing
Pt on warfarin needs to avoid herbal remedies
Heparin by IV pt needs to report: presence of blood in urine or poop
Pt on spironolactone: needs to make sure they don't eat too many high potassium foods
There is a high risk of digoxin toxicity in pt with: low serum potassium levels
Apical pulse rate of 52: notify the physician
Chemo has caused you to have a low platelet count, which puts you at risk for bleeding,
Oprelvekin is used to increase platelet production to decrease the risk
Digoxin therapeutic level: 1.5
Common adverse effect of trandolapril (Mavik): persistent cough
Pt needs additional teaching regarding anticoagulants when: they use aspirin for arthritis
pain
Pt is prescribed a potassium-sparing diuretic, pt might develop: Hyperkalemia
Vita K: admin to assist in the development of clotting factors
Pt who is on digoxin and loop diuretic, its important to monitor: Potassium levels
Infant with extreme diaper rash, dr orders a topical ointment: do not use a tight diaper
after applying ointment.
Correct method to instill ear drops in an adult: pull pinna of ear UP and back
Pt on hypertension meds, teach them to: rise to a standing position slowly
Pt is taking folic acid to treat an anemia client decided to go on a fasting diet: the
prescribed diet and drug are necessary to correct anemia associated with folic acid
deficiency
Megaloblastic anemia: it is important to eat foods high in protein
Peripheral edema is associated with right sided heart failure
Carbamide peroxide is used to remove cerumen
Superinfection can occur when antibiotics are not admin correctly
4

Do not stop taking antihypertensive meds bc Rebound hypertension may occur

The pt can state specific measures to avoid adverse effects
You should withhold digoxin and notify dr if: pulse is 54 beats/min
Pt is receiving an immune stimulant and develops a cardiac arrhythmia: stop the drug!!
Adverse effects of diltiazem (Cardizem): peripheral edema and bradycardia
Warfarin acts on the body by: alters Vita K reducing its ability to participate in the
coagulation of blood
Hypertension BP is: systolic above 140 or diastolic above 90
Pt on warfarin needs to avoid: green leafy vegetables
Persistent cough can occur with ACE inhibitors
Atropine: admin to tx bradycardia
You have a deficiency bc you are a strict vegan